WARSAW LODGE NO 1423 LOYAL ORDER OF MOOSE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
WARSAW LODGE NO 1423 LOYAL ORDER OF MOOSE (EIN 35-0480440)
Tax period
2017-05-01 to 2018-04-30
Filed
2018-08-30
IRS object ID
201832429349301153
Schema version
2017v2.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-30T12:54:46-07:00ReturnTs
Tax Period End2018-04-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RAMSEY & WIGGINS INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11043 E WINONA AVEAddressLine1Txt
CityWARSAWCityNm
State AbbreviationINStateAbbreviationCd
ZIP46580ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-05-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN350480440EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WARSAW LODGE NO 1423 LOYAL ORDER OF MOOSE WARSAWBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWARSBusinessNameControlTxt
Phone5742692850PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 261AddressLine1Txt
CityWARSAWCityNm
State AbbreviationINStateAbbreviationCd
ZIP465810261ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAN MCCLONEPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone5742692850PhoneNum
Signature2018-08-26SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBURTON A RAMSEYPreparerPersonNm
PTINP01207101PTIN
Phone5742676151PhoneNum
Preparation2018-08-30PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAN MCCLONEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15512 W PALESTINE 2ND STAddressLine1Txt
CityMENTONECityNm
State AbbreviationINStateAbbreviationCd
ZIP46539ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$210,007GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0002GroupExemptionNum
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1914FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION UNITES ITS MEMBERS IN THE BONDS OF FRATERNITY, BENEVOLENCE AND CHARITY. THIS IS ACCOMPLISHED THROUGH A YEAR-ROUND SCHEDULE OF SOCIAL AND RECREATIONALActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,279PYContributionsGrantsAmt
CY Contributions Grants$3,586CYContributionsGrantsAmt
PY Program Service Revenue$182,542PYProgramServiceRevenueAmt
CY Program Service Revenue$183,701CYProgramServiceRevenueAmt
PY Investment Income$28PYInvestmentIncomeAmt
CY Investment Income$15CYInvestmentIncomeAmt
PY Other Revenue$18,995PYOtherRevenueAmt
CY Other Revenue$16,691CYOtherRevenueAmt
PY Total Revenue$205,844PYTotalRevenueAmt
CY Total Revenue$203,993CYTotalRevenueAmt
PY Grants And Similar Paid$6,423PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,496CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$69,180PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$70,137CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$131,477PYOtherExpensesAmt
CY Other Expenses$124,571CYOtherExpensesAmt
PY Total Expenses$207,080PYTotalExpensesAmt
CY Total Expenses$199,204CYTotalExpensesAmt
PY Revenues Less Expenses-$1,236PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,789CYRevenuesLessExpensesAmt
Total Assets BOY$380,567TotalAssetsBOYAmt
Total Assets EOY$389,750TotalAssetsEOYAmt
Total Liabilities BOY$25,191TotalLiabilitiesBOYAmt
Total Liabilities EOY$29,585TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$355,376NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$360,165NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION UNITES ITSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
DescN/ADesc
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Quid Pro Quo Contri DisclfalseQuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBOBI J BRUMFIELDPersonNm
Phone5742692850PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11790 WEST LAKE STREETAddressLine1Txt
CityWARSAWCityNm
State AbbreviationINStateAbbreviationCd
ZIP465810261ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndInstitutional TrusteeInstitutionalTrusteeInd
DOUG AULT
GOVERNOR 20183.00Yes (X)$0$0$0
DAN COOPER
JUNIOR GOVERNOR 20183.00Yes (X)$0$0$0
JEFFERY ROSE
JUNIOR PAST GOVERNOR 20183.00Yes (X)$0$0$0
EARL BUCK
PRELATE 20183.00Yes (X)$0$0$0
DAN MCCLONE
ADMINISTRATOR 201830.00Yes (X)$31,200$0$0
GLEN ROBINSON
TREASURER 20183.00Yes (X)$0$0$0
DAVID LONG
TRUSTEE 20183.00$0$0$0Yes (X)
WAYNE WHITE
TRUSTEE 20183.00$0$0$0Yes (X)
CHARLIE RICHARDS
TRUSTEE 20183.00$0$0$0Yes (X)
JEFFERY ROSE
GOVERNOR 20173.00$0$0$0Yes (X)
DOUG AULT
JUNIOR GOVERNOR 20173.00$0$0$0Yes (X)
KYLE KIME
JUNIOR PAST GOVERNOR 20173.00$0$0$0Yes (X)
EARL BUCK
PRELATE 20173.00$0$0$0Yes (X)
DAN MCCLONE
ADMINISTRATOR 201730.00$31,200$0$0Yes (X)
GLEN ROBINSON
TREASURER 20173.00$0$0$0Yes (X)
DAVID LONG
TRUSTEE 20173.00$0$0$0Yes (X)
WAYNE WHITE
TRUSTEE 20173.00$0$0$0Yes (X)
ROBERT BLICK
TRUSTEE 20173.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$62,400TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$3,516FundraisingAmt
All Other Contributions$70AllOtherContributionsAmt
Total Contributions$3,586TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmt
SOCIAL QUARTERS SALES900099$77,876
KITCHEN SALES900099$22,238
GAMING900099$80,425
LODGE PROJECTS900099$1,163
VENDING900099$299

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,700TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$183,701TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15TotalRevenueColumnAmt
Exclusion$15ExclusionAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$3,516ContriRptFundraisingEventAmt
Gaming Gross Income$22,705GamingGrossIncomeAmt
Gaming Direct Expenses$6,014GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,691TotalRevenueColumnAmt
Exclusion$16,691ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$203,993TotalRevenueColumnAmt
Related Or Exempt Func Income$183,701RelatedOrExemptFuncIncomeAmt
Exclusion$16,706ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,496TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$31,200TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$33,441TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,496TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,295TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,961TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,537TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$30,630TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,071TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$589TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
COST OF GOODS SOLD$41,213
BANDS & ENTERTAINMENT$10,700
GAMING EXPENSE$16,794
LICENSES & PERMITS$7,878

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,903TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$199,204TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$99,443BOYAmt
EOY$119,616EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$45,671BOYAmt
EOY$24,686EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$330BOYAmt
EOY$330EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,800BOYAmt
EOY$2,800EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$242,318LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$232,323BOYAmt
EOY$242,318EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$380,567BOYAmt
EOY$389,750EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,161BOYAmt
EOY$5,465EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$21,030BOYAmt
EOY$24,120EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,191BOYAmt
EOY$29,585EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$355,376BOYAmt
EOY$360,165EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$355,376BOYAmt
EOY$360,165EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$380,567BOYAmt
EOY$389,750EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,789ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,000OtherCostOrOtherBasisAmt
Book Value$15,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$157,690OtherCostOrOtherBasisAmt
Book Value$157,690BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,628OtherCostOrOtherBasisAmt
Book Value$69,628BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$242,318TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Bingo$22,705GrossRevenueBingoAmt
Other Direct Expenses Bingo$6,014OtherDirectExpensesBingoAmt
Volunteer Labor BingoYes (true)VolunteerLaborBingoInd
Volunteer Labor Bingo1.00000VolunteerLaborBingoPct
Gross Revenue Total Gaming$22,705GrossRevenueTotalGamingAmt
Oth Direct Expnss Total Gaming$6,014OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$6,014DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$16,691NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedINStatesWhereGamingConductedCd
LicensedYes (true)LicensedInd
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersYes (true)GamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Own Facility1.00000GamingOwnFacilityPct
Individual With BooksDAN MCCLONEIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line15512 W PALESTINE 2ND STAddressLine1Txt
CityMENTONECityNm
State AbbreviationINStateAbbreviationCd
ZIP46539ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonDAN MCCLONEGamingManagerPersonNm
Gaming Manager Services ProvOVERSEES GAMING OPERATIONSGamingManagerServicesProvTxt
Gaming Manager Is Director OfcrYes (X)GamingManagerIsDirectorOfcrInd
Charitable Distribution RqrYes (true)CharitableDistributionRqrInd
Distributed$16,691DistributedAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 6MOOSE UNITS HAVE MEMBERS.
Pt VI, Line 7aMEMBERS ELECT THE BOARD OF OFFICERS.
Pt VI, Line 7bTHE LODGE, AS A WHOLE, APPROVES THE RECOMMENDATIONS OF THE OFFICERS.
Pt VI, Line 11bFORM 990 IS REVIEWED BY THE OFFICERS PRIOR TO FILING.
Pt VI, Line 19THE INDICATED DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MOOSE INTERNATIONAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1155 S INTERNATIONAL DRIVEAddressLine1Txt
CityMOOSEHEARTCityNm
State AbbreviationILStateAbbreviationCd
ZIP60539ZIPCd
FieldValueIRS element (for citing)
EIN361408120EIN
Primary ActivitiesFRATERNAL ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Exempt Code Section501(C)(8)ExemptCodeSectionTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SOLE MEMBERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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